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General NPI Number Information
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NPI Number | 1740157718
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Entity Type | Individual
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Provider Name | MR. PARSA HESHMATI
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Gender | Male
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 19031 33RD AVE W STE 200 STUDIO#17
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City | LYNNWOOD
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State | WA
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Zip | 98036-4731
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Country | US
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Telephone | 206-698-8812
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 199TH ST SE
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City | BOTHELL
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State | WA
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Zip | 98012-7339
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Country | US
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Telephone | 206-698-8812
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 605680425-001-0001
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License Number State | WA
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